Nearly 53 million prior authorization requests were sent to insurers in 2024, compared with nearly 50 million in the prior year, according to KFF. Almost 8% of those requests were partially or fully ...

While the cost of health care remains the dominant worry among Americans, the process of obtaining prior authorization from ...

Rheumatologists share how they are using AI platforms for clinical documentation, reducing EHR time, streamlining workflows, ...

There is a good reason for health insurers to occasionally require prior authorization for medical treatment. If a doctor ...

Elisa Auguste, administrator at East Setauket, N.Y.-based Precision Care Surgery Center and vice president of the New York ...

Healthcare AI is surging — but inside clinics, many tools quietly stall. Physician executives explain why design, incentives, & governance matter more than algorithms.

Minority rule kicks in when the minority’s preferred option is acceptable to the majority, but not vice versa. Systems tend to gravitate to the stricter standard.

During two House hearings, health insurance CEOs were questioned on rising healthcare costs, vertical integration and prior authorization.

Attorneys at Kaufman Dolowich LLP discuss key legal and litigation trends for 2026 in the healthcare industry, including medical malpractice, employment law, health insurance, and cyber litigation.

As payer prior authorization requirements grow more complex, ASCs are increasingly caught in what one administrator describes as a “game of chicken” between patient care and financial survival. Elisa ...

"Medically necessary" is often a four-letter word for patients.

As with environmental law and consumer protections, the Trump administration’s enthusiasm for deregulation has undone long-sought rules to improve care for the aged.